LISA RENE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109645

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENE

Last Name

JOHNSON

Suffix

Business Name

LISA RENE JOHNSON MD

Original Issue Date

07/03/2003

Effective Date

07/03/2003

Expiration Date

07/31/2005

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006